Faulkner, Edith Moody
Faulkner, Edith Moody is an individual health care provider with primary practice located at 1205 Highway 182 W Ste B , Starkville MS 39759-9820. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Faulkner, Edith Moody can be contacted via phone (662) 377-5199.Contact Information
Primary practice address
1205 Highway 182 W Ste B
Starkville MS 39759-9820
Phone: (662) 377-5199
Fax: (662) 377-2264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R865568 | Mississippi |
Profile Details
| NPI number | 1134460736 |
|---|---|
| LBN Legal business name | Faulkner, Edith Moody |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2013 |
| Last updated | Mar 12th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134460736 | NPPES |
| Mississippi | MEDICAID | 008880771 |
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